INSTITUTIONALMEMBERSHIPFORM

(Membershipyearbeginsthemonth of registration)

NewRenewal

Nameof Institution/Organization/Company:

______

Address: ______

PC______Designated Voting Delegate (DVD): Alternate Delegate(optional): BusPhone: Fax: E-mail:

TypeofLibrary:

AcademicSpecialPublicSchoolRegional

MunicipalOther______

Employee Numbers

Total number of full-time and part-timelibraryworkers who are part of the institution or region?

INSTITUTIONAL MEMBERSHIP BENEFITS

Payment of institutional membership fee entitleslibrary workers atan institution or region tothe following benefits:

  • DVDcan vote on all SLA business matters at AGM
  • Eligible for SLA committees and Networks
  • Eligible for member rate to attend the SLA annual conference
  • Eligible for member rate for EI/CEC events and workshops
  • Eligible only for Category 2 and 3 Continuing Education Grants

Yes I am interested in serving on the SLA Board or a committee.

Feesbased on grosssalary: (*effective July 1, 2017)

1-8 workers$ 120.00

9-24 workers$ 170.00

25-49 workers $ 200.00

50-74 workers $ 225.00

75+ workers $250.00

TOTALINSTITUTIONALMEMBERSHIPFEES $

Pleasenote:ThisisYourInvoice

MethodofPayment:ChequeVisaMastercard CreditCard #:______

Cardholder Name:______

ExpiryDate:______Signature:______

TotalMembershipFees$

TotalDonations$

TOTALAMOUNTENCLOSED$

If you require a receipt, please indicate email address:

Pleasemakechequespayableto:

SaskatchewanLibraryAssociation

#15–2010-7thAvenue

Regina,SK,S4R1C2

Phone:(306)780-9413Fax:(306)780-9447

E-mail:ormoreinformation orfor on-lineforms, seetheSLAweb site:

ReceivingElectronicMessages(CASLConsent)

Wevalueourrelationshipwithyouandwouldliketo continuetoprovideyouwithe-mails,newsletters,invitations,eventnotices,notifications,membershiprenewal.However, new Canadianfederalanti-spamlegislation (CASL)cominginto force July1, 2014,requires thattheSaskatchewanLibraryAssociation (SLA) getyourconsent tocontactyouelectronically. Pleaseselectoneofthefollowing:

Yes Igivemy consent toreceiveelectronicmessagesfrom theSLA.

NoIdo NOT givemy consenttoreceiveelectronicmessagesfromtheSLA.

Photographic Release – Saskatchewan Library Association

Igivepermissionformyphotograph and or video/audio and photographiclikenesstobeusedin perpetuitybytheSLA andthoseactingwithSLA'sauthority andpermission.Itismyunderstandingthatthesephotographs, videos/audiowillbeusedina responsibleandrespectfulmanner,andassuch,thesephotographsvideos/audio maybeusedfor educationalandpromotionalpurposesincludingdisplays, publications,webpages, audio-visualpresentations,orinanyothermannerdeemednecessarybySLA.

I herebygrantpermissiontoSLAtoedit,crop,orretouchthesephotographs, video/audioandwaive anyrighttoinspectthefinalproduct.

I herebyreleaseanddischargeSLAfromanyandallclaimsanddemandsarisingoutof orinconnectionwiththeuseofthephotographs, video/audioincludingbutnotlimitedtoanyandall claimsforlibelorviolationofanyrightofpublicityorprivacy.

I understandthatSLAmayusethesephotographs video/audiowithorwithoutassociatingmyname withthem. IfurtherwaiveanyclaimforcompensationofanykindforSLA'suseorpublicationof photographsvideo/audioofme.

I havereadandunderstandthecontentsofthisrelease.Thisagreementshallbebinding uponmeandmyheirs,legalrepresentativesandassigns.

Yes Iagreeto the photographic releaseasoutlinedabove.

NoIdo NOTagreeto the photographic releaseasoutlinedabove.

PhotographicRelease–SaskCulture

Ialsogrant SLA’s majorfundingorganization,SaskCultureInc.andSaskatchewanLotteries,anditsassociatedentities,the right tousephotographs or video ofmeforthepurposes of promotingand/oradvertisingthebenefitsofsport,culture orrecreationprogramsandevents,and/orlotteryproceeds supportingsport,cultureandrecreationactivitiesinSaskatchewan.Thephotographs(s)/video(s) ofmemay be usedinanyandallforms of advertising,includingprint,television,internet and otherwise, all without paymentofanyfeeor considerationtome.

Ihavereadandunderstandthecontentsofthisrelease.Thisagreementshallbebindinguponmeandmyheirs,legalrepresentativesandassigns.

Yes Iagreeto the secondphotographic releaseasoutlinedabove.

NoIdo NOTagreeto the secondphotographic releaseasoutlinedabove.